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Contact Information

BACK ON TRACK, P.C.
1180 BEACON ST
SUITE 6-C
BROOKLINE, MA02446-3838
 Phone: 617-730-5337
 Fax: 617-730-5461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BACK ON TRACK, P.C.

NPI # 1376593368
LBN Legal business name BACK ON TRACK, P.C.
Authorized official HENRY SISUN - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2006
Last updated 04/20/2012 - About 14 years ago
Identifiers
MA Other Y65633 BCBSMA GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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